Amend CSHB 1357 as follows: (1) Amend Section 254.051 by adding a new subsection (f): (f) A facility that is not in continuous operation 24 hours per day and 7 days per week cannot be issued a license with a term that extends beyond August 31, 2013. (2) Amend Section 254.053 by inserting a new subsection (c) and renumbering subsequent sections accordingly: (c) The application must contain evidence that there is at least one physician and one nurse on the staff of the facility who is licensed by the appropriate state licensing board. (3) Amend 254.151 by inserting a new subsection (a)(12) and renumbering subsequent sections accordingly and adding a new subsection (c): (a)(12) transfer protocols for patients requiring advanced medical care at a hospital; (c) The minimum standards under this section shall apply to facilities operating 24 hours a day and 7 days per week and facilities operating less than 24 hours a day and 7 days per week. (4) Strike SECTION 6(d) of the bill.